DV No.
:
DISBURSEMENT VOUCHER Date:
Barangay: City/Municipality: BAYBAY CITY
Tel. No.: _________________________________ Province: LEYTE
Payee/Office: Employee No. Fund:
Address: BAYBAY CITY, LEYTE ___________
TIN No.: ____________________
________________
Particulars Amount
A. Certified: B. Certified: C. Certified: As to validity,
Existence of available appropriations for the Fund (Cash) available propriety and legality of claim.
charges/expenses indicated above. Approved: For payment
________________________ _______________ ___________________
SK Budget Monitoring Officer SK Treasurer SK Chairperson
__________ ________________
__________ Date
Date Date
D. Received Payment:
_______________________ Check No.: ________________ Date:
Signature Over Printed Name Bank Name: ________________
OR Number: ________________ Date:
Date: _______________
No.
JOURNAL ENTRY VOUCHER ____________________
___________ Date:
Agency ____________________
Accounting Entries
Responsibility
Center Amount
Accounts and Explanation Account Code P
Debit Credit
Total
Prepared by: Approved by:
____________________ ______________________
Barangay Bookkeeper City/Municipal Accountant